Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Payal Shah (NPI 1962406504)

Field	Value
Entity Type	Individual
Organization	Payal Shah
Address	870 Palisade Ave
City	Teaneck
State	NJ
ZIP	07666
Taxonomy	Specialist
NPI Enumerated	June 10, 2005

Payer Source	Total Paid
Medicare	$26.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	110	$100	$10.9K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	70	$50	$3.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$140	$3.4K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	70	$40	$3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	40	$70	$2.9K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	120	$20	$2.1K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$1	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Payal Shah — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,557	13,640	130	$90	$23.6K
99213	10,569	14,090	100	$70	$13.1K
G0328	10	50	40	$20	$7.3K
99204	4,496	7,160	40	$130	$6.5K
G0101	225	720	40	$40	$2.6K
Q0091	85	490	30	$50	$2.3K
81002	689	1,390	30	$1	$260

Related Providers

Other providers that share a Tax Identification Number (TIN) with Payal Shah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Excelcare Medical Associates, PA	NJ	Internal Medicine Physician	$0	$10M
Kimberly Miletti	NJ	Gerontology Nurse Practitioner	$444.6K	$0
Chang Lee	NJ	Internal Medicine Physician	$413.6K	$0
Gilberto Gastell	NJ	Internal Medicine Physician	$331.1K	$0
Michelle Reisner	NJ	Internal Medicine Physician	$244.6K	$0
Richard Gallo	NJ	Internal Medicine Physician	$230.5K	$0
Michael Schwarz	NJ	Specialist	$208.3K	$0
Chester Lee	NJ	Urology Physician	$175.5K	$0
Nilesh Shukla	NJ	Gastroenterology Physician	$165.6K	$0
Deborah Lozito	NJ	Internal Medicine Physician	$146.8K	$0

Nearby Providers

Other providers in the same ZIP code as Payal Shah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holy Name Medical Center Inc.	NJ	General Acute Care Hospital	$0	$107.1M
Awca Home Care Agency, Inc.	NJ	Home Health Agency	$0	$25.2M
Care-4-me,llc	NJ	Home Health Agency	$0	$18.1M
Friendly Urgent Care, LLC	NJ	Urgent Care Clinic/Center	$0	$8.6M
New Jersey Laser Dentistry	NJ	Dental Clinic/Center	$0	$8.5M
Vincent Ho	NJ	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Holy Name Ems	NJ	Land Ambulance	$1.3M	$919K
Tamara Lenis	NJ	Ophthalmology Physician	$1.7M	$0
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0
Luis Gonzalez Gonzalez	NJ	Ophthalmology Physician	$1.5M	$0

Payal Shah — Billing Profile & Reimbursement Data

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Payal Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References